-
psnet.ahrq.gov/node/39583/psn-pdf
October 30, 2010 - Prior studies have shown that most hospitals do not have robust
mechanisms for analyzing and learning
-
psnet.ahrq.gov/node/44750/psn-pdf
January 06, 2016 - Participants cited leadership
walk rounds and committee participation as possible leadership involvement mechanisms
-
psnet.ahrq.gov/node/39802/psn-pdf
November 16, 2010 - contribution-patient
Reporting systems, morbidity and mortality conferences, and case review all serve as mechanisms
-
psnet.ahrq.gov/node/37514/psn-pdf
February 04, 2015 - Legal reforms or market interventions are also suggested as mechanisms to deal with the externalization
-
psnet.ahrq.gov/node/46358/psn-pdf
December 22, 2017 - surveys
can identify errors and adverse events that were not detected through other safety surveillance
mechanisms
-
psnet.ahrq.gov/node/36047/psn-pdf
September 28, 2010 - reference several
commentaries that debate the work hour issues and call for greater attention to mechanisms
-
psnet.ahrq.gov/issue/second-victim-review
June 26, 2019 - The authors highlight the importance of safety culture , disclosure, and peer support as mechanisms
-
psnet.ahrq.gov/issue/mindful-workarounds-bar-code-medication-administration
July 20, 2022 - workflows support error prevention and how to identify workarounds that negate these error prevention mechanisms
-
psnet.ahrq.gov/issue/clinical-progress-note-situation-awareness-clinical-deterioration-hospitalized-children
January 19, 2022 - response models enhanced by event review, psychological safety, and patient and family partnering as mechanisms
-
psnet.ahrq.gov/issue/race-postoperative-complications-and-death-apparently-healthy-children
August 10, 2022 - These results can help guide future research exploring the mechanisms underlying racial differences in
-
psnet.ahrq.gov/issue/medical-students-raising-concerns
September 23, 2020 - The authors suggest that support for students and clear mechanisms to report safety concerns are needed
-
psnet.ahrq.gov/issue/making-care-better-pediatric-intensive-care-unit
September 02, 2020 - culture of safety affects pediatric critical care delivery and highlights collaboratives as effective mechanisms
-
psnet.ahrq.gov/issue/morbidity-and-mortality-meeting-time-different-approach
August 30, 2023 - Mortality and morbidity (M&M) conferences are established mechanisms to investigate care failures.
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psnet.ahrq.gov/issue/ncpdp-recommendations-and-guidance-standardizing-dosing-designations-prescription-container
September 09, 2020 - using leading zeroes before decimal points (for amounts smaller than one), and ensuring that dosing mechanisms
-
psnet.ahrq.gov/issue/report-manitoba-pediatric-cardiac-surgery-inquest-inquiry-twelve-deaths-winnipeg-health
October 05, 2022 - of deaths from a pediatric cardiac unit revealed flaws in the recruitment process, quality assurance mechanisms
-
psnet.ahrq.gov/issue/national-partnership-maternal-safety-consensus-bundle-venous-thromboembolism
November 16, 2022 - The authors discuss the importance of reporting mechanisms to help health care organizations learn
-
psnet.ahrq.gov/issue/diagnostic-reasoning-endangered-competency-internal-medicine-training
September 04, 2019 - includes focusing on the structure of teaching conferences and rounds, the training environment , and mechanisms
-
psnet.ahrq.gov/node/46902/psn-pdf
August 20, 2018 - Although formal mechanisms exist within health care institutions for
raising safety issues, little is
-
psnet.ahrq.gov/node/42144/psn-pdf
March 27, 2013 - Further refinement is
needed before automated mechanisms can be used to reliably detect outpatient safety
-
psnet.ahrq.gov/node/45057/psn-pdf
June 22, 2017 - that include
prescribing modules, whereas others have linked standalone systems through interfacing mechanisms